Individual
DR. RAYMOND A. RIVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7 GLENWOOD PL, PENNSVILLE, NJ 08070-0247
(856) 678-4550
(856) 678-6272
Mailing address
7 GLENWOOD PL, PO BOX 247, PENNSVILLE, NJ 08070-1732
(856) 678-4550
(856) 678-6272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00102000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058808
—
NJ
Enumeration date
04/23/2007
Last updated
07/09/2007
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